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Permit
'NI CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2021-00067 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/22/2021 Parcel: 2S 112DA01400 Jurisdiction: Tigard Site address: 15350 SW SEQUOIA PKWY 198 Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2 Project Description: Interior plumbing:Capping(1)2"hub drain and relocating(1)sink. Contractor: ALWAYS FAITHFUL PLUMBING LLC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 757 ATTN: N PIVEN WILSONVILLE, OR 97070 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-780-9486 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 02/22/2021 $25.02 Specifics: 1 ea Sink 02/22/2021 $25.02 1 12%State Surcharge- 02/22/2021 $8.70 Type of Use: COM Plumbing Class of Work: ALT 22 ea Minimum Fee Adjustment- 02/22/2021 $22.46 Plumbing Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: � Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application 2- `'lz Building Fixtures ECEIV� FOR OFFICE USE ONLY City of Tigard Received q4 Pennit No.: lig � 13125 SW Hall Blvd.,Tigard,OR 97223 FEB � 2�Gt Date/By: �'/i✓t�(3� � � `"/`-y)�j7 S Plan Review / �"' Phone: 503.718.2439 Fax: 503.598.1960 N Other Permit No.: ��Q f, i -fit, 1 " Date/By: ie / ✓`" "4�C Inspection Line: 503.639.4175 T I G A R D ,ITI'OF 71 GAtate Ready/By: ) y� 7uris: See Page 2 for Internet: www.tigard-or.gov Notified/Method: ?-1�6(,11 Supplemental Information TYPE OF WORK 1 I ,a , ,i;r; i(); o-�(>r as�ts4�(Cerdrit FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist. Description Qty. Ea. Total ®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ I-and 2-family dwelling ©Commercial/industrial SFR(2)bath 437.78 0 Accessory building III Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:A.CeL 15 5w 72nd i 35o sS t',1 #pa, Catch basin or area drain 18.76 City/State/ZIP: tigard OR 97224 Drywell,leach line,or trench drain 18.76 ?-it 5/14 8:i: Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Me Project name: PCCO 8 SEfEC OFFICE Manufactured home utilities 50.03 Cross street/directions to job site: / *eC4-509t ot._ Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 RELOCATE 1 BREAK SINK CAP 1 HUB DRAIN Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Pacific Realty Fixture/sewer cap 1 25.02 ,jba Floor drain/floor sink/hub 25.02 Address: 6650 SW Redwood Ln Ste 290 Garbage disposal 25.02 City/State/ZIP: Portland/ OR/ 97224 Hose bib 25.02 Phone:( 503) 624-6300 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name:Always Faithful Plumbing Contact name: Corey Chamberlain Primer 12.51 Roof drain(commercial) 12.51 Address: PO Box 757 Sink/basin/lavatory 1 25.025',C4, City/State/ZIP:Wilsonville OR 97070 Solar units(potable water) 62.54 Phone:(503)780-9486 Fax: :( ) Tub/shower/shower pan 12.51 E-mail:alwaysfaithfulplumbing@yahoo.cornUrinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Always Faithful Plumbing Water piping/DWV rn DWV 56.29 Address: PO Box 757 Other: 25.02 City/State/ZIP: Wilsonville, OR 97070 Subtotal -01.1 Phone:(503)780-9486 Fax:( ) Minimum permit fee: $72.50 -244 Plan review (25%of permit fee) CCB Lie.: 217284 Plumbing Lic.no.:PB1940 I State surcharge(12%of permit fee) f 7c) Authorized signature:�j/ 7!/t )3 TOTAL PERMIT FEE ►, b I.di) Print name:Corey Chamberlain Date: 2/9/2 021 This permit application expires if a permit is not obtained wit in 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) . Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain- 1st 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other ec Ins tions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. Jacuzzi/Whirlpool ❑ Car Wash: -Each Stall New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ID Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" ©)• 3" Isometric or Riser Diagram 4„ ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lay/Bar non-food related 1 -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: l:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Branden Taggart From: Always Faithful Plumbing <alwaysfaithfulplumbing@yahoo.com> Sent: Thursday, February 18, 2021 3:45 PM To: Branden Taggart Subject: Re: Spec Space Permit: PLM2021-00067 - 16515 SW 72nd Caution!This message was sent from outside your organization. Allow sender I Block sender hey Branden sorry this pcco241-198 spec space that has 1 relocated break sink and 1 capped floor drain is at 15350 sw sequoia #198 Thanks Corey Chamberlain 503-780-9486 Always Faithful Plumbing CCB #217284 On Thursday, February 18, 2021, 03:30:59 PM PST, Branden Taggart <brandent@tigard-or.gov> wrote: Hi Corey, The spec space Plumbing permit, located at 16515 SW 72nd Avenue, is ready to issue now. The balance due is $81.20, and I have attached an invoice above for you to reference. The fees can be paid online now at https://aca- prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number PLM2021-00067 under the Building tab. There is a 3% service fee for credit cards, but e-checks do not have a service fee. Once the fees are paid, please email the Permit Technicians at TigardBuildingPermits(a�tigard-or.gov so that we may issue this permit and email you the permit paperwork. 1 ~ Also, please note that sewer credit will not be issued for capping a hub drain as they are not assessed sovverGDC fees upon installation. Thanks. Bnanden Taggart c|tJ of Tigard � z Senior Permit Technician Community Development 13125 ��Hall Blvd Tigard, OR 97223 (503)718-2449 brondcntLE-It|go,d'or.gov � DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws, If requested, e-mail ' may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E'mai)s are retained bytheCityofTigardinoomp|iancewiththe0reQonAdministrativeRu|ea^QtyBenena| ReoondsRetendonSchedu|e.^ / . � ' � � � � 2 Branden Taggart From: Branden Taggart Sent: Thursday, February 18, 2021 3:31 PM To: Always Faithful Plumbing Subject: Spec Space Permit: PLM2021-00067 - 16515 SW 72nd Attachments: Invoice.pdf Hi Corey, The spec space Plumbing permit, located at 16515 SW 72"d Avenue, is ready to issue now. The balance due is $81.20, and I have attached an invoice above for you to reference. The fees can be paid online now at https://aca- prod.accela.com/TIGARD/Weicome.aspx by searching for the permit record number PLM2021-00067 under the Building tab. There is a 3% service fee for credit cards, but e-checks do not have a service fee. Once the fees are paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this permit and email you the permit paperwork. Also, please note that a sewer credit will not be issued for capping a hub drain as they are not assessed sewer SDC fees upon installation. Thanks, Branden Taggart a City of Tigard 1110 . Senior Permit Technician il—„r Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent©tigard-or.gov 1